Individual
MRS. KARENA DIANE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000482874
ANTHEM BCBS
IN
01
—
100257920
MEDICAID - GROUP
IN
01
—
1424
PHP
IN
05
—
200838660
—
IN
01
—
35179001202
CARESOURCE
IN
01
—
4423623
AETNA
IN
Enumeration date
12/15/2006
Last updated
05/16/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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